Individual
MR. CLINTON ERIC DUNCAN
Active
Individual
MR. CLINTON ERIC DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-132
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935721
—
AL
01
—
51532171
BCBS OF AL
AL
01
—
5514653
AETNA
AL
01
—
631187140
TAX ID
—
01
—
P00332004
RR MEDICARE
AL
01
—
S09874
VIVA
AL
Enumeration date
05/03/2006
Last updated
08/11/2016
Update your record
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